Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
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To investigate whether diclofenac could be used in preemptive and multimodal fashion with local anesthesia (LA) during arthroscopic knee surgery. ⋯ Level IV, therapeutic case series.
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The suprascapular notch is a common location for entrapment of the suprascapular nerve. Open surgical procedures for excision of the transverse scapular ligament are associated with pain relief and functional improvement. Arthroscopic procedures have been described for decompressing ganglion cysts, which compress the nerve at the spinoglenoid notch. ⋯ Arthroscopic identification of structures around the notch is necessary before ligament resection. A new suprascapular portal, in combination with an accessory portal, is described for retraction, blunt dissection, nerve stimulation, and ligament resection. Key instruments include a 4-mm arthroscope of standard length (160 mm), with a 70 degree angled lens for adequate visualization and a calibrated probe to guide and limit dissection.
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Randomized Controlled Trial Comparative Study
Purely intra-articular versus general anesthesia for proposed arthroscopic partial meniscectomy of the knee: a randomized controlled trial.
The aim of this study was to compare intra-articular anesthesia alone versus general anesthesia with regard to ease of the procedure, level of postoperative pain, and patient satisfaction when partial meniscectomy is anticipated. ⋯ Level I, high-quality randomized controlled therapeutic trial.
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The purpose of this study was to prospectively evaluate the surgical outcome of arthroscopic Bankart repair via suture anchors in patients with recurrent traumatic anterior shoulder instability with a minimum follow-up of 2 years. ⋯ Level IV, therapeutic case series.
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Bioabsorbable interference screws have proved to be biologically safe and to provide adequate graft fixation. Metallic interference screws have therefore been continuously replaced over the years. However, degradation times are highly variable, and bony replacement of the screw does not always occur in human beings. Composite interference screws have recently been introduced to enhance bony integration. We evaluated 2 different composite interference screws and compared them with an allograft interference screw over a 2-year period after anterior cruciate ligament (ACL) reconstruction with an autologous bone-patellar tendon-bone graft. ⋯ At 24 months, no advantage of composite screw materials over conventional bioabsorbable screws could be detected. If composite materials will be of any advantage with respect to bony replacement has to be observed with longer-term follow-up. The allograft bone screw was completely incorporated and replaced by cancellous bone after 24 months. Unfortunately, the screw's more complicated handling, higher cost, and limited availability impair the possibilities for its standard clinical use.